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小儿脊柱疾病的诊断方法

Diagnostic Approach to Pediatric Spine Disorders.

作者信息

Rossi Andrea, Martinetti Carola, Morana Giovanni, Severino Mariasavina, Tortora Domenico

机构信息

Neuroradiology Unit, Istituto Giannina Gaslini, Via Gerolamo Gaslini, 5, Genova 16147, Italy.

Neuroradiology Unit, Istituto Giannina Gaslini, Via Gerolamo Gaslini, 5, Genova 16147, Italy.

出版信息

Magn Reson Imaging Clin N Am. 2016 Aug;24(3):621-44. doi: 10.1016/j.mric.2016.04.001.

Abstract

Understanding the developmental features of the pediatric spine and spinal cord, including embryologic steps and subsequent growth of the osteocartilaginous spine and contents is necessary for interpretation of the pathologic events that may affect the pediatric spine. MR imaging plays a crucial role in the diagnostic evaluation of patients suspected of harboring spinal abnormalities, whereas computed tomography and ultrasonography play a more limited, complementary role. This article discusses the embryologic and developmental anatomy features of the spine and spinal cord, together with some technical points and pitfalls, and the most common indications for pediatric spinal MR imaging.

摘要

了解小儿脊柱和脊髓的发育特征,包括胚胎学步骤以及随后骨软骨脊柱及其内容物的生长情况,对于解读可能影响小儿脊柱的病理事件至关重要。磁共振成像(MR成像)在疑似患有脊柱异常的患者的诊断评估中起着关键作用,而计算机断层扫描和超声检查的作用则较为有限,起辅助作用。本文讨论了脊柱和脊髓的胚胎学及发育解剖学特征,以及一些技术要点和陷阱,还有小儿脊柱MR成像的最常见适应证。

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